LIGHTR Business Application

LIGHTR Business Application

Local Industry Grant. Hire, Train, Retain.
You are applying for Training Funds through LIGHTR.

Looking to provide professional development? Want to retain quality talent?

LIGHTR is a collaboration between the Larimer County Economic and Workforce Development and the City of Fort Collins Economic Health Office designed to help your small business acquire training and certifications for your employee(s).

LIGHTR does not provide the training or certification.

Program Eligibility
Your small business may be eligible for training assistance if your business meets the following criteria:
- Has 1 to 50 employees
- Located within Larimer County
  - If your business is located within Fort Collins, it must be compliant with city sales tax.
  - If you are unsure if your business is compliant with the City of Fort Collins sales tax, please email business@fcgov.com.
- Pays in to unemployment insurance for employees
- Provides workers' compensation for employees
Economic and Workforce Development is committed to providing accessibility for everyone. If you need assistance completing this form, reach out to Blake Dowling at lcewd-ada@larimer.org or via phone at 970.498.6041.
Business Details
Business Name*
Authorized Representative*

First NameLast Name
Representative's Title
Number of Full-Time Employees*
Not including owner
Phone Number*
Extension
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Description of Business (industry, products, services, etc)
Is your business is located within the City of Fort Collins?*

YesNo
Is your business compliant with City of Fort Collins sales tax?*

YesNoUnsure
Does your business pay into Unemployment Insurance?*

YesNo
Does your business provide Worker's Compensation for employees?*

YesNo

Proposed Training Outline

LIGHTR does not provide training
Training Requirements

LIGHTR funding will only cover up to $3000 of the total training cost.
- Tuition
- TrainingMaterials
- Certification/Licensure Costs
Training funded by this program must meet the following criteria:
- May not exceed more than 12 months in duration
- Must lead to a form of measurable gain for the employee, the business, or both, which includes but is not limited to:
  - Increase in employee wage, hours, etc.
  - Employee Promotion
  - Employee earned industry recognized certificate
  - Training filled a skill gap in the business
  - Training leads to increased business revenue, production, and/or capacity
Training Provider*
Name of Training*
Anticipated Start Date*

MonthDayYear
Anticipated End Date*

MonthDayYear
Location of Training*
Anticipated cost per employee*
Anticipated total cost of training*
LIGHTR grant amount requested*
List which position(s) (by job title) will receive training, the average wage paid for each position, and the average hours per week worked by each position. *
How will this training benefit your business?*
How will this training benefit the employee?*

Authorized Signature
As an authorized representative of the company submitting this application, I hereby certify that my company meets the minimum requirements and is eligible to submit this application; the information contained in this application is true and accurate.*

I agree to the above statement
Business Name*
Signature*
First and Last Name
Date*

MonthDayYear
Should be Empty:

LIGHTR Business Application

Business Details

Proposed Training Outline

Authorized Signature